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Kelly Leigh Hackney , LPC

Counselor - Professional β€’ Cedar Bluff, VA

Active NPI 1699306563 Individual Practitioner Female Practitioner
Practice location in NPPES

113 Cumberland Road
Cedar Bluff, VA 246090810

Call 2769646702 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

113 Cumberland Road

Cedar Bluff, VA 246090810

Telephone 2769646702
Fax 2769640292
Organization at the Same NPPES Address or Phone
Cumberland Mountain Community Services Facility NPI 1235125055

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 5 distinct additional practice-address records in Cedar Bluff, VA; Grundy, VA; Lebanon, VA and 1 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kelly Hackney has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kelly Hackney as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Cedar Bluff and Virginia

41 active clinicians are listed under Counselor - Professional with a practice address in Cedar Bluff, VA (6,481 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Cedar Bluff

7.3% of these 41 clinicians have the CMS telehealth indicator.

19.5% of these 41 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-02-12
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES VA 0701008891
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20250225002869

Enrollment State Jurisdiction

DC

PECOS Control ID

6103265186

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

196 Cumberland Rd

Cedar Bluff, VA 246091137

Phone: 2769646702

216 Gilmer Street

Lebanon, VA 24266

Phone: 2768893063

78 Rogers Street

Lebanon, VA 24266

Phone: 2769357154

526 West Main Street

Tazewell, VA 24651

Phone: 2769887961

1014 Stillhouse Hollow Road

Grundy, VA 24614

Phone: 2769357154

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Latoshia Belcher , LPC

Counselor - Professional

NPI 1588276547

Licensed Professional Counselor

Juanita Gross , LCSW

Social Worker - Clinical

NPI 1508150939

Licensed Clinical Social Worker

Samantha Kramer

Physician Assistant

NPI 1144902636
Crystal Mcglothlin , FNP

Nurse Practitioner

NPI 1689801425

Family Nurse Practitioner

Dr. James Reinhard , MD

Psychiatry & Neurology - Psychiatry

NPI 1558689927

Doctor of Medicine (M.D.)

Misty Vance , LCSW

Social Worker - Clinical

NPI 1265075493

Licensed Clinical Social Worker

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Business Mailing Address February 12, 2025

Registered at PO BOX 283, BIG ROCK, VA 246030283 (Tel: 2763378442)

πŸ‘€
Provider Name / Credentials Updated February 12, 2025

Recorded as KELLY HACKNEY, LPC

βœ…
NPI Profile Active January 30, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 30, 2020

Registered at 113 CUMBERLAND ROAD, CEDAR BLUFF, VA 246090810 (Tel: 2769646702)

πŸ“
Business Mailing Address (Initial Record) January 30, 2020

Registered at PO BOX 810, CEDAR BLUFF, VA 246090810 (Tel: 2769646702)

πŸ‘€
Provider Name / Credentials (Initial Record) January 30, 2020

Recorded as KELLY GILLIAM, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2020

Counselor (license number reported to NPPES: VA 0701008891)

🟒
Initial NPI Registration & Enumeration January 30, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1699306563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2020
Last Update: February 12, 2025
Sole Proprietor: No

Other Counselor - Professionals in Cedar Bluff

Mailing Address

Po Box 283

Big Rock, VA 246030283

Phone: 2763378442

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.